Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
216 Cards in this Set
- Front
- Back
|
Food, Drug, Cosmetic Act
|
-created by the FDA & FCDA
Adulteration -may not be pure Misbranding -must include manufacturer and the number of quantities -failure to warn -failure to provide direction of usage |
|
|
Durham-Humphrey Act
|
-created by the FCDA
-must provide direction of usage unless otherwise stated by the Federal -Legend (prescription) -Non - Legend (non-prescription) -may call fore refills -may fax for new prescription |
|
|
Comprehensive Drug Abuse Prevention and Control Act (1970)
|
Drugs with potential drug abuse must be monitored so they'll be divided into 5 categories
|
|
|
Schedule I
|
Not accepted as US mediated drug because of potential drug abuse
|
|
|
Schedule II
|
Highly used US Medicated drug but also has high drug abuse potential with severe psychological & physical dependency
|
|
|
Schedule III
|
Not as high as Schedule II in drug abuse but has potential psychological & physical dependency
|
|
|
Schedule IV
|
Not as high as schedule III but has limited psychological & physical dependency
|
|
|
Schedule V
|
Not as high as IV with the exception of narcotics
|
|
|
Drug Enforcement Agency Registration
|
-Form 224
-All Drug Facilities must be registered with the DEA -renew license every 3 years |
|
|
Schedule II (Ordering and & receipt)
|
-Form 222
-Pharm must sign and date the receipt -Available 60 days from purchase date -Keep in record for 2 years |
|
|
Defective Forms
|
-incomplete or illegible
-any forms that show erasure, change, or alternation -keep in record for 2 years |
|
|
Initial Inventory
|
-complete and accurate info of all files before the opening
-business day of the pharmacy store |
|
|
Biennial Inventory
|
-2 years after initial inventory
-Exact schedule II -Estimate of Schedule III, IV, V -Keep record for 2 years |
|
|
Perpetual Inventory
|
Exact unit at a particular time
|
|
|
Return of Controlled Substance
|
-Monitored by the DEA
-Transfer of Schedule II |
|
|
Destruction of Outdated or Damaged Controlled Substance
|
Form 41
|
|
|
Theft of Controlled Substance
|
Form 106
Keep a copy for yourself Keep other copy for DEA File a police department |
|
|
Filling of Controlled Substance
|
Physician sign ad date prescription with no allowable refills
(within 72 hours) = refills (after 72 hours) = new prescription |
|
|
Emergency Filling of Schedule II Drug Prescriptions
|
Limited Supply
Pharm contacted the physician Reduce order to writing Physician need it within 7 days |
|
|
Schedule II Drugs in Long Term Care Facility
|
-May fax or original prescription
-Must be labeled as "terminally ill patient" or "Long Term Care Facility Patient -Available for 60 days from the purchase date |
|
|
Schedule III & IV Drugs
|
-May Fax or Phone depending on state law
-5 refills within the next 6 months |
|
|
Exempt Narcotics
|
-In original package and quantities may not exceed the Federal Law
-Must be at least 18 years old and sign Narcotics Exempt Form -New Prescription after 48 hours (Include the following DNANAPP -Date -Name -Address -Name of Purchase -Address of Purchaser -Price of Transaction -Pharmacist Signature |
|
|
Adderall
|
Amphetamine
Destramphetamine |
|
|
Amytal
|
amobarbital (II)
|
|
|
Cocaine
|
cocaine (II)
|
|
|
Codeine
|
codeine (II)
|
|
|
Demerol
|
meperidine (II)
|
|
|
Dexedrine
|
dextramphetamine (II)
|
|
|
Dilaudid
|
hydromorphine (II)
|
|
|
Dolophine
|
methadone (II)
|
|
|
Duragesic
|
fentanyl (II)
|
|
|
Morphine Sulfate
|
morphine (II)
|
|
|
Numorphan
|
oxymorphone (II)
|
|
|
Oxycontin
|
oxycodine (II)
|
|
|
Percocet
|
acetaminophan
oxycodone (II) |
|
|
Percodan
|
aspirin
oxycodone (II) |
|
|
Ritalin
|
methylphenidate (II)
|
|
|
Seconal
|
secobarbital (II)
|
|
|
Tylox
|
acetaminophan
oxycodone (II) |
|
|
Ambien
|
zolpidiem (IV)
|
|
|
Anexia
|
acetaminophan
hydrocodone (III) |
|
|
Ativan
|
lorazepam IV
|
|
|
Bontril
|
phendimetrazine (III)
|
|
|
Butisol
|
butibarbital (IV)
|
|
|
Capital with Codeine
|
acetaminophen with codeine (III)
|
|
|
Cylert
|
pemoline IV
|
|
|
Dalmane
|
flurazepam (IV)
|
|
|
Darvocet
|
acetaminophan and propoxyphene IV
|
|
|
Empirin with Codeine
|
aspirin with codeine III
|
|
|
Equanil
|
meprobamate IV
|
|
|
Fastin
|
phentermine IV
|
|
|
Fiorcet with Codeine
|
acetaminophan
bulbital caffeine codeine IV |
|
|
Fiorinal
|
aspirin
bulbital caffeine IV |
|
|
Fiorinal with Codeine
|
aspirin
bulbital caffeine codeine IV |
|
|
Halcion
|
triazolam IV
|
|
|
Hycodan
|
hydocdan III
|
|
|
Hycomine Compound
|
(to be filled)
|
|
|
HYcotuss
|
guaifenesin
hydrocodan III |
|
|
klonopin
|
clonazepam IV
|
|
|
Librium
|
chlorazepoxide IV
|
|
|
Lomotil
|
diphenoxylate & atrophine IV
|
|
|
Lorcet
|
acetaminophan & hydrocodone III
|
|
|
Lortab
|
acetaminophan & hydrocodone III
|
|
|
Noctec
|
chloral hydrate IV
|
|
|
Phenobarbital
|
phenobarbial IV
|
|
|
Restroil
|
temazepam IV
|
|
|
Robitussin (A-C)
|
guaifenesin & codeine IV
|
|
|
Soma with Codeine
|
carisoprodal with codeine III
|
|
|
Sonata
|
zaleplon IV
|
|
|
Stadol
|
butaphanol IV
|
|
|
Talwin
|
pentazocine IV
|
|
|
Talwin Nx
|
pentazocine naloxone IV
|
|
|
Tenuate
|
diethylpropion IV
|
|
|
Traxene
|
chlorazepale IV
|
|
|
Tussinex
|
chlorphenramine
hydrocodone III |
|
|
Tylenol with Codeine
|
acetaminophan
codeine III |
|
|
Valium
|
diazepam IV
|
|
|
Vicodan
|
aceaminophan
hydrocodone III |
|
|
Vicoprofen
|
ibuprofen
hydrocodone III |
|
|
Wygesic
|
acetaminophan
propoxyphene IV |
|
|
Xanax
|
alprazolam IV
|
|
|
Facsimile Prescriptions
|
-may fax as original prescription (Schedule III, IV, V)
Exceptions: -narcotics under direct administration -Schedule II as controlled drugs -Practitioner under XVIII for Medicare regardless if h/she in a hospital with patient setting |
|
|
Prescription Electronic Reporting Act
|
Practitioner controlled sub II< III, IV electronically
IDQPD -patient identifier -drug dispenser -quantity dispensed -prescriber -dispenser |
|
|
Transferring of Controlled Substance for Schedule (II, III, IV, & V)
|
-pharmacy share a real live online database to fill max amount of refills
-date, name DEA number of pharmacy or pharmacist |
|
|
Poison Prevention Packaging Act of 1970
|
-All OTC & Legend Drugs usually have a child resistant lid
-90% of adults can open -80% of kids under 5 years old can open the lid |
|
|
Exception for Child Resistant Containers
|
-One time dispense/settled agreement
-elderly or handicapped (non-compliant size) -must contain no children warning sticker |
|
|
Medication that do not require child resistant containers...
|
SKIP
|
|
|
Drug Listing Act of 1972
|
11 Digit (National Drug Code)
5 Digit (manufacturer) 4 Digit (Drug Name) 2 Digit (Packaging) |
|
|
Orphan Act of 1983
|
-Less than 200,000 cases
-Tax Incentives |
|
|
Drug Price Competition and Patent Term Restoration Act of 1984
|
renew licenses to market more drugs
|
|
|
Prescription Marketing Act (1987)
|
-No imported drug to the US unless if its for license purposes
|
|
|
Omnibus Budge Reconciliation Act of 1987 (OBRA-87)
|
-Extended coverage on Medicaid conditions on long term care facility
-No unnecessary Drugs -Special Condition given to patients with anti-psychotic drug needs |
|
|
Omnibus Budget Reconcillation Act of 1990 (OBRA-90)
|
-Lower Price with the average and lowest price in the market
-Pharmacy must mentor patients on drug or lose Medicare funding -Keep patient prof (backed by government) |
|
|
Resource Conservation and Recovery Act
|
-EPA (Environmental Protection Agency) state that you must not flush hazardous waste in sewage but instead in proper disposal
|
|
|
FDA Modernization Act
|
Prohibited drug not approved by the Federals are labeled as Rx
|
|
|
Dietary Supplement Health and Education Act DSHEA of 1994
|
-Labeled as a dietary supplement
-Identity plant/plant part -Comply with standards -Follow purity, quality, and compositional specification |
|
|
Health Insurance Portability and Accountability Act (HIPAA) of 1969
|
Title 1: Protect families' insurance even if they are unemployed
Title II: Simplification of Code |
|
|
Isotretin (Acutane) Safety and Risk Management Act of 2004
|
-Used to treat severe ACNE
-may not use internet, mail, or phone -yearly evaluation -quarterly evaluation after 15 days of deceased patient -monthly blood test -monthly women's test -30 day prescription allotment |
|
|
Anabolic Steroid Act
|
-Replace old drug as Schedule III
-59 , different substance total |
|
|
Any Willing Provider's Law
|
Pharm can go with whatever prescription benefit program
|
|
|
Prescription Drug Equity Law
|
-Will not mail prescription unless if there's mail insurance
|
|
|
Medicare Drug, Improvement and Modernization Act (MPPIMA) of 2004
|
VPVLCM
-Plan d go up to regional and national level -voluntary prescription benefit plan -prevent elders from getting benefits -lower reimbursement rate for medial equipment -changed Medicare ways to pay for outpatient B |
|
|
Combat Methamphatamine Epidemic Act (2005)
|
-Listed as Chemical Drug List for ephinderma, pseudoephedrine, and phenylpropanolamine
3.6g/day 6g/30 days limit mail order prescription |
|
|
Medicaid Tamper Resistant Prescription Act
|
-No unauthorized copy of filled or non-filled prescription
-Patient may not change or alter prescription -no counterfeit Sign a pad if there are none available, may fax to another local office |
|
|
USP <79>
|
Prevent pharmacy from getting sick from patients' drugs
|
|
|
Buraeu of Alcohol, Tobacco, and Firearms (ATP)
|
Tax free alcohol in hospital/clinic
|
|
|
Centers for Medicare and Medicaid Services
|
-reimbursement
|
|
|
Drug Enforcement
|
-monitor by the DEA, pass out form 222 and 441 to make sure drugs are not damaged (backed by the Department of Justice
-compliance with "Controlled Substance Act" |
|
|
Food and Drug Administration
|
-Make sure drugs are pure, effective and sae
-Review by Medwatch |
|
|
Institutional Review Board
|
-Approve Biomedical research in accordance with the FDA
|
|
|
The Joint Comission
|
DEAA
-Deemed status from Medicare Funding -Establishes standards and accredits health care providers -Addresses quality patient care and patient safety |
|
|
National Association of the Boards of Pharm
|
-made up of all state boards of pharm
-Not serious -Come together to discuss about trends |
|
|
State Boards of Pharm (BOP)
|
RED
-regulations of roles, expectations, and duties -made up standards and punish pharmacist or pharm tech for inappropriate behavior |
|
|
United States Pharmacoepia (USP)
|
-standard for food or dietary supplement
|
|
|
Online Adjudication
|
-Reimbursement from insurance to pay off profit
|
|
|
Code A
|
equivalent
|
|
|
AA
|
not equivalent
|
|
|
AB
|
bioequivalent
|
|
|
AO
|
injectible oil solution
|
|
|
AP
|
injectible aqueous solution
|
|
|
AT
|
topical equivalence
|
|
|
B Codes
|
not equivalent
|
|
|
BC Code
|
controlled substance such as injectible, tablets, or capsules aka AB bioequivalence
|
|
|
BD
|
dosage form or active ingredient, bioequivalent
|
|
|
BE
|
ENTERIC COATED ORAL DOSAGE FORMS
|
|
|
BP
|
active ingredient and dosage forms
|
|
|
BR
|
suppositories and enemas
(injectibles) |
|
|
BS Code
|
Topical Equivalence
|
|
|
BX Code
|
insufficient data
|
|
|
Controlled Sub may only be transferred once
|
pharm or pharm tech may assist
|
|
|
Theapeutic Equivalence
|
-Orange Book
-Same composition, same effect |
|
|
Theaupeutic Interchange
|
-Diff Composition
-Same effect |
|
|
Epidemic
|
-Control or prescece or non-presence of disease
|
|
|
Elderly Age Groups
|
Young Old 65-74
Medium Old 75-84 Old Old 85 and over |
|
|
Angina
|
Chest Pain from Imbalance of O and demand
|
|
|
Bacterial Infection
|
More than 101 F
More than 12,000 White Blood Cells |
|
|
Benign Prostatic Hyperthropy
|
Enlarged Penis
|
|
|
Bronchitis
|
cough red or green blood
|
|
|
Congestive Heart Failure
|
Heart Pumping Less Blood
|
|
|
Depression
|
Affected by neurotransmitters
Changes in norepephrine, dolophine, and serotonin |
|
|
Gestational Diabetes
|
Second or third trimester or pregnancy
Cure by Diet and exercise |
|
|
Type I Diabetes
|
Can't Produce insulin
|
|
|
Type II Diabetes (Adult Onset)
|
Insulin Resistant
|
|
|
Secondary Diabetes
|
Arise from Medications
|
|
|
Emphysema
|
Damaged Lung
|
|
|
Gestational Diabetes
|
Second or third trimester or pregnancy
Cure by Diet and exercise |
|
|
Type I Diabetes
|
Can't Produce insulin
|
|
|
Type II Diabetes (Adult Onset)
|
Insulin Resistant
|
|
|
Secondary Diabetes
|
Arise from Medications
|
|
|
Emphysema
|
Damaged Lung
|
|
|
Hypothroidism
|
damaged thyroid hormone
|
|
|
Myocardial Infaction
|
lack of O in heart disease
|
|
|
Obesity
|
males have more than 30%
females have more than 25% |
|
|
Schizophrenia
|
illusion, hallucination
|
|
|
Stroke
|
Interruption of O in brain by rupture or destruction of pathway (clot)
|
|
|
Tuberculosis
|
array droplets from cough
|
|
|
ulcers
|
excessive secretion of upper GI tract
|
|
|
Urinary Tract Infections
|
caused by bacteria
|
|
|
Viral Infections
|
fever, chill, or headaches
|
|
|
Potentialism
|
One drug will make the other drug have a better lifespan
|
|
|
Synergism
|
Drug of 2 make a more powerful effect
|
|
|
Drug-Disease Interaction
|
Disease might effect the drug in metabolism, absorption, and elimination
|
|
|
Drug nutrient information
|
nutrient affects drug's metabolism
|
|
|
Neonates
|
won't work until baby has organs (1 year)
(BSA) Height, surface area, body weight |
|
|
Antibiotic aka
-mechanism rxn -common indications -adverse rxn |
sulfonamides: Bacteriostatic
-affects pseudo-amino benzoic acid and folic acid affects bacteria -common indications: urinary tract infection -adverse rxn: photosensitivy to light, kidney, damage |
|
|
Sulfamethoxazole-trimethroprin
|
Belongs to antibiotics
Brand Name: Bacterium, septra Dosage Forms: Oral suspension, IV, tablet |
|
|
Sulfadiazine
|
Belongs to Anbibiotics
Sulonamides: Bacteriostatic Brand Name: Silvadene Dosage Forms: Cream |
|
|
Sulfasalazine
|
Belong to Antibiotics
Sulfaonamides: Bacteriostatic Brand Name: Azulfidine Dosaage Forms: Tablet, enteric Coated tablet, oral suspension |
|
|
Sulfisoxazole
|
Belongs to Antibiotics
Sulfonamide: Bacteriostatic Brand Name: Ganstrin Dosage Forms (TOO): Tablet, oral suspension, ophathalmic (Ointment) |
|
|
Penicillins
-MOA -common medications -adverse rxn -special consideratios |
MOA: prevent bacteria from forming cell wall
Common Indications: pneumonia, respiratory infections Adverse Rxn: idarrhea Special Considerations: Take it with empty stomache |
|
|
amoxicillin
|
antibiotics:sulfonaides
Brand Name: Amoxil, Polymox Dosage Forms: Capsule, oral suspension, last 14 days if refrigerated |
|
|
amopicillin
|
anbibiotics:
Brand Name -Omnipen Dosage Forms -oral suspension -capsule -7 days: laying around -14 days: fridge |
|
|
cloxacillin
|
antibiotics: sulfonamides
Brand Name: none Dosage Forms: -oral suspension -capsule -powder for injection |
|
|
dicloxacillin
|
antibiotics: sulfonamides
Brand Name -Dynaphen Dosage Forms -Oral Suspension -Oral Tablet -Chewable Tablet |
|
|
Piperacillin
|
antibiotics:sulfonamides
Brand Name -none Dosage Forms -injectible powder |
|
|
amoxicillin
|
antibiotics:sulfonaides
Brand Name: Amoxil, Polymox Dosage Forms: Capsule, oral suspension, last 14 days if refrigerated |
|
|
amopicillin
|
anbibiotics:
Brand Name -Omnipen Dosage Forms -oral suspension -capsule -7 days: laying around -14 days: fridge |
|
|
cloxacillin
|
antibiotics: sulfonamides
Brand Name: none Dosage Forms: -oral suspension -capsule -powder for injection |
|
|
dicloxacillin
|
antibiotics: sulfonamides
Brand Name -Dynaphen Dosage Forms -Oral Suspension -Oral Tablet -Chewable Tablet |
|
|
Piperacillin
|
antibiotics:sulfonamides
Brand Name -none Dosage Forms -injectible powder |
|
|
ticarcillin- clavulanate
|
antibiotics: sulfonamides
Brand Name -Timentin Dosage Forms IV |
|
|
Cephalosporins
MOA Indications Adverse Rxns Special Conditions |
MOA: prevent bacteria from forming cell wall
Indications -neumonia Adverse RXn -diarrhea Special Conditions: 10% population is cross sensitive |
|
|
Cefaclor
|
Cephalosporins
Brand Name -Ceclor Dosage Forms: -capsule -oral suspension -extended release tablet |
|
|
Cefdinir
|
Cephalosporins
Band Name: -Omnicef Dosage Forms: -capsule -oral liquid |
|
|
Cefixime
|
Cephalosporins
Brand Name: -Suprax Dosage Forms: -oral suspension -tablet |
|
|
Cefepime
|
Cephalosporins
Brand Name: -Maxipime Dosage Forms -Injection (IV) |
|
|
Cefpodoxime
|
Cephalosporins
Brand Name: Vantin Dosage Forms: -oral suspension |
|
|
Cefadroxil
|
Cephalosporins
Brand Name: Duricef Dosage Forms: -oral suspension -capsule -tablet |
|
|
Ceftinbuten
|
Cephalosporins
Brand Name -Cedax Dosage Forms -oral suspension -capsule |
|
|
Cefuroxime
|
Cephalosporins
Brand Name: -Ceftin -Zindacef Dosage Forms -oral suspension -tablet -intramuscular IV |
|
|
Cephalexin
|
Cephalosporins
Brand Name -Keflex -Keftab Dosage Forms -oral suspension -tablet -capsule |
|
|
Cephradine
|
Cephalosporins
Brand Name -Velosef Dosage Forms -capsule |
|
|
Cefprozil
|
Cephalosporins
Brand Name: -Cezil Dosage Forms: -OC -oral liquid -capsule |
|
|
Carbopenems, Carbocephems, and Monobactams
-indications -adverse rxn |
Indications:
-gram with bacterial -gran without bacteria Adverse Rxn: -same as penicillins and cephalosporins but worse seizures |
|
|
ertapenem
|
Carbopenems, Carbacephems, and Monobctams
Brand Name -Intranz Dosage Form(s) -Injection IV |
|
|
imipenem-cilastatin
|
Carbapenems, Carbacephems, Monobactams
Brand Name: -Primaxin Dosage Form(s) -Injection (IV) |
|
|
loraccarbef
|
Carbapenems, Carbacephems, and Monobactams
Brand Name: Lorabid Dosage Form(s) -capsule -oral liquid |
|
|
aztreonam
|
Carbaphenems, Carbacephems, and monoBactams
Brand Name: -Azacam Dosage Form(S) IV |
|
|
Tetracyclines
-MOA -Indications -Adverse Rxn -Special Conditions |
MOA:
bind to ribosomes to block prootein syntehsis Indications: -ACNE -chronic bronchitis Adverse Rxn: -GI -photosensitivity Special Condition: -cannot be mixed with milk -no expired drug -do not give kids under 9 years old of age |
|
|
Doxyceline Hyclate
|
Tetra cyclines
Brand Name: -Vibramycin Dosage Forms -capsule IV -oral suspension -tablet |
|
|
Doxycline Monohydrate
|
Teracyclines
Brand Name: Monodose Dosage Forms -Tablet |
|
|
MInocycline
|
Tetracyclines
Brand Nme -Minocin Dosage Forms: -capsule IV -oral suspension -tablet |
|
|
Tetracycline
|
Tetracyclines
Brand Name -Achromycin -Salmycin Dosage Forms -Capsule -Oral Suspension -topical |
|
|
Macrolides
-MOA -Indications -Special Consideration Reconstituinoal Concerns -injection -oral suspension |
MOA: Block ribosomes from protein synthesis
Indications: -pulmonary infections Special Condition: -GI Infection Reconstitutional Concerns: Injection = 24 hours Oral Suspension = 10 days if refrigerated |
|
|
Azithromycin
|
Microdes
Brand Name: -Azithromax Dosage Forms -oral suspension -capsule |
|
|
clarithromycin
|
Microlides
Brand Name: -Blxin Dosage Forms -granules for oral suspension -film coated tablet |
|
|
dirithyromycin
|
Microlides
Brand Name: -Dynabac Dosage Forms -entreric coated tablet |
|
|
erythromycin base
|
Macrolides
Brand Name -Eryc -E-Mycin -Ery- Tab Doage froms -capsule -tablet -enteric coated tablet -film coated tablet |
|
|
erythromycin estotate
|
Macrolides
Brand Name -Hosone Dosage Forms -Oral susepnsion -capsule |
|
|
erythromycin ehtylsuccinate
|
Macrolides
Brand Names: EES Dosage Forms -oral suspension -tablet -chewable tablet |
|
|
erythromycin stearate
|
Macrolides
Brand Name -Erythrocin Dosage Forms -Film coated tablet -Intramuscular IV |
|
|
erythromycin sulfisoxazole
|
Macrolides
Brand Name -Pediazole Dosage Forms -oral suspensio IV injection for 8 hours |
|
|
eryhtromycin lactobinate
|
Macrolides
Brand Nmae -Erythrocin Doage Forms IV IV injection for 8 hours |
|
|
Ketolides
-MOA -indications -adverse rxn |
MOA:
-stop protein synthesis by stopping ribosomes Indications: -stop bacterial infections to lungs or sinus Adverse Rxn: -blurred vision |
|
|
telithromycin
|
Ketolides
Brand Name: Ketec Dosage Form -Tablet |
|
|
Quinolones
-MOA -Indications -Adverse rxns -Special Conditions |
to be continued
|
